| NPI | 1912357252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 282183) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 268345) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2020-12-29 |